DERMATOLOGY & SKIN SURGERY CENTER. P.C.
NPI 1598964348
Specialist in Stockbridge, GA
NPI Status: Active since July 12, 2007
Contact Information
210 VILLAGE CENTER PKWY
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 474-5952
Fax: (770) 474-1300
- Organization
- Specialist
- CLIA Number: 11D0923808
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-28-2025
About DERMATOLOGY & SKIN SURGERY CENTER. P.C.
This page provides the complete NPI Profile along with additional information for Dermatology & Skin Surgery Center. P.c., a provider established in Stockbridge, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1598964348 assigned on July 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Juan A Mujica M.d. (President)
- NPI
- 1598964348
- Provider Name
- DERMATOLOGY & SKIN SURGERY CENTER. P.C.
- Entity Type
- Organization
- Location Address
- 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281
- Location Phone
- (770) 474-5952
- Location Fax
- (770) 474-1300
- Mailing Address
- 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281
- Mailing Phone
- (770) 474-5952
- Mailing Fax
- (770) 474-1300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2007
- Last Update Date
- 04-20-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP1170 | MEDICARE PIN (08) | GA | |
| ========= | OTHER (01) | GA | EIN NUMBER |
| CA9936 | MEDICARE PIN (08) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0923808
- Facility Type
- Physician Office
- Certificate Effective Date
- September 29, 2023
- Certificate Expiration Date
- September 28, 2025
- Laboratory Director
- DAVID B. PHARIS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Dermatology & Skin Surgery Center. P.c. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 9 | 8 | 9 | 6 | 4 | 3 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 18 | 6 | 8 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 8 + 6 + 8 + 3 + 8 + 24 = 82 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 82 = 8 | 8 | ||||||||
The NPI number 1598964348 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760488282 | DR. JUAN ANTONIO MUJICA M.D. Individual | Specialist | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1649276064 | NEVILLE G PEREYO M.D. Individual | Specialist | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1326044744 | MARIA R PICO M.D. Individual | Specialist | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1831195262 | GRACE BOGERT PA-C Individual | Physician Assistant | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1891791208 | MARTHA SIKES PA-C Individual | Physician Assistant | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1811993223 | A MATTHEW BRUNNER PA-C Individual | Physician Assistant | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1609107457 | VANESSA MARCY WINOKUR PA-C Individual | Physician Assistant (Medical) | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1922494483 | DR. BRENDA MARIA MORALES-PICO MD Individual | Dermatology | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
| 1225863020 | ERIKA LIU SHENG PA-C Individual | Physician Assistant (Medical) | 210 VILLAGE CENTER PKWY STOCKBRIDGE, GA 30281 (770) 474-5952 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598964348, enumerated in the NPI registry as an "organization" on July 12, 2007
The provider is located at 210 Village Center Pkwy Stockbridge, Ga 30281 and the phone number is (770) 474-5952
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D0923808 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on July 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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